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General NPI Number Information
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NPI Number | 1568108835
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Entity Type | Organization
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Legal Business Name | RJ DENTAL SMILES, PLLC
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 498 MAIN ST
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City | DALTON
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State | MA
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Zip | 01226-1660
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Country | US
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Telephone | 724-234-8871
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Fax |
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Provider Business Mailing Address
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Address Line | 18 CRAFTSMAN CT
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City | SOUTH GRAFTON
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State | MA
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Zip | 01560-0086
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Country | US
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Telephone | 724-234-8871
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. RUPINDER KAUR MULTANI
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Credential | DMD
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Telephone | 724-234-8871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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